Provider Demographics
NPI:1821861030
Name:MEYER, JOSHUA JOSEPH (FNP)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JOSEPH
Last Name:MEYER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 S HELEN ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-3512
Mailing Address - Country:US
Mailing Address - Phone:208-830-5679
Mailing Address - Fax:
Practice Address - Street 1:9850 W ST LUKES DR STE 207
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-7912
Practice Address - Country:US
Practice Address - Phone:208-505-2711
Practice Address - Fax:208-505-2708
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID53899363LX0106X, 163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health